Provider Demographics
NPI:1366786477
Name:ANDERSSON, NANCY B (LPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:ANDERSSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9088 RIDGELINE BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2383
Mailing Address - Country:US
Mailing Address - Phone:720-726-3066
Mailing Address - Fax:303-791-9920
Practice Address - Street 1:9088 RIDGELINE BLVD
Practice Address - Street 2:STE 201
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2383
Practice Address - Country:US
Practice Address - Phone:720-726-3066
Practice Address - Fax:303-791-9920
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health